3. Milestones of primary health care development in Thailand present Primary care services 2485 Health centers 2511 Community hospitals 2518 Strengthening of primary care service system Adoption of PHC/HFA concept 2521 Decade of Health Center Development (1992-2001) 2535 Universal coverage scheme UC policy: promoting primary care 2545 Traditional herbal medicine 2550 2539 Thai Health Care Reform Initiative VHVs 2507 Sarapee Banphai Proj 2509 Watbot Experiment 2517 Lampang Project Samerng, Nonthai Thai Health promotion Fund 2544 Civic movement 2524 National Health Bill 2493 Vertical Disease Control Programs Financial Crisis 2540 2542 Decentralization started HSRI
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8. Primary care is the provision of first contact , person-focused ongoing care over time that meets the health-related needs of people , referring only those too uncommon to maintain competence, and coordinates care when people receive services at other levels of care. Starfield 09/04 04-132 Starfield 09/04 PC 2943
9. PERSON-FOCUSED CARE means taking into account all life-threatening, disability-inducing, and health-compromising conditions that people encounter in daily life, whether they are the conventionally “chronic” conditions, other “chronic” conditions (such as incontinence, post-stroke impairment, and hearing loss), chronic conditions that are acute but likely to recur (such as sinusitis and urinary tract infection), or acute conditions that predispose people to other conditions and to disability. Starfield 10/06 CM 3463
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11. Primary Care Hospital Care รัฐ / เอกชน องค์กรอิสระ รัฐ / เอกชน GP / FP nurses social worker physiotherapist ลักษณะการจัดระบบบริการสุขภาพ แบบลงทะเบียน แบบไม่ลงทะเบียน อังกฤษ เนเธอร์แลนด์ สวีเดน ไต้หวัน แคนาดา ออสเตรเลีย นิวซีแลนด์ มาเลเซีย สิงคโปร์